Active NPI
Neuroscience Specialists PC
- Neurological Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEUROSCIENCE SPECIALISTS PC
- Practice address
- 14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036 - Phone
- (405) 748-3300
- Fax
- (405) 749-1671
- NPI assigned
- Mar 14, 2006
- Last updated
- Feb 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas McCollum
- Title
- Director of Technology
- Phone
- (405) 748-3300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | NU | ||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | NU | ||
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Mailing address
14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Phone (405) 748-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN6921 | Other | OK | MEDICARE RAILROAD |
| 100746190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2086938 | Neuroscience Specialists PC | Certificate of waiver | Nov 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
10914 Hefner Pointe Dr
Ste 200
Oklahoma City, OK 73120
Phone (405) 463-3337
14101 Parkway Commons Dr
Ste 100
Oklahoma City, OK 73134
4120 W Memorial Rd
#6921
Oklahoma City, OK 73120
4120 W Memorial Rd
Ste 118
Oklahoma City, OK 73120
Phone (405) 748-4700
4120 W Memorial Rd
Ste 300
Oklahoma City, OK 73120
Phone (405) 748-3300
4140 W Memorial Rd
Ste 200
Oklahoma City, OK 73120
Phone (405) 749-7001
Practitioners & affiliated clinicians
Practitioners 32
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1609257914
-
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1790714590
-
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1437188240
-
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1790717692
-
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1063444974
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1013117688
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1932198280
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1841289196
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1225021702
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1871582213
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1417924143
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1669461000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1548239494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 PARKWAY COMMONS DR STE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346036",
"telephone_number": "405-748-3300",
"fax_number": "405-749-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 PARKWAY COMMONS DR STE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346036",
"telephone_number": "405-748-3300",
"fax_number": "405-749-1671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSCIENCE SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "DIRECTOR OF TECHNOLOGY",
"authorized_official_telephone_number": "405-748-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CN6921",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100746190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.